Medical Records Clerk organizes, files, and retrieves patient medical records. Performs data entry, file maintenance, and other clerical processes. Being a Medical Records Clerk follows established policies and procedures to ensure effective and compliant record management. Fulfills information requests for retrieval and printing of medical records from storage or archives. Additionally, Medical Records Clerk ensures the privacy and security of all patient records. Requires a high school diploma. Typically reports to a supervisor. The Medical Records Clerk works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Medical Records Clerk typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)
Description
Position Summary:
The HIM Clerk plays a vital role in ensuring the accuracy, confidentiality, and accessibility of patient health information within the hospital. This position involves various administrative tasks related to health information management, including data entry, record maintenance, and compliance with regulatory standards.
Essential Functions:
Non-Essential Functions:
Work Environment:
The HIM Clerk primarily works in an office setting within the hospital. The position may involve occasional exposure to patient care areas and exposure to confidential patient information.
Physical Demands:
Qualifications:
· High school diploma or equivalent required.
· Associates degree in health information management or related field preferred.
· Previous experience in a healthcare setting, particularly in health information management or medical records, is preferred but not required.
· Familiarity with electronic health record (EHR) systems and other health information technologies is advantageous.
· Strong attention to detail and organizational skills, with the ability to prioritize tasks effectively in a fast-paced environment.
· Excellent communication and interpersonal skills, with the ability to collaborate effectively with multidisciplinary teams.
· Knowledge of medical terminology, coding systems (e.g., ICD-10, CPT), and healthcare regulations (e.g., HIPAA) is desirable.
· Proficiency in basic computer applications, including Microsoft Office suite (Word, Excel, Outlook).
Certificates, Licensure, Registrations:
· RHIT or RHIA, preferred.
Security/Access:
· Will have access to the facility 24 hours a day.
· Will have access to confidential information abiding by the organization’s privacy policies and regulations concerning this information.
· All Harlan County Health System users will be given access to the organizations network to the level required to perform their specific duties. Some users will require access to job specific systems, the authorization of these systems will be granted but the department director or the IT coordinator.
Patient Age Groups Served:
Other Duties:
The above statements reflect the general details considered necessary to describe the essential functions of the job as identified and shall not be considered as a detailed description of all work requirements that may be inherent in the position. Duties, responsibilities, and activities may change, or new ones may be assigned at any time with or without notice.